Evolución de operaciones por enfermedades del intestino proximal y glándulas anexas realizadas en Chile entre 2011 y 2016

Abstract

Evolution of surgeries due to diseases of the proximal intestine and anexal glands perfomed in Chile between 2011 and 2016 Introduction: The number of operations performed in Chile due to diseases for the foregut, have been every time more precise and complete in the National Register Data of Statistics in Health (MINSAL), and published in several reports (years 1983, 2005 and 2011). Objectives: a) to incorporate data of new operations not included before and b) to compare the results of high complex operations reported on 2011 and 2016. Material and Methods: from the DEIS (Department of Statistics and Information of Health) we obtained the total number of operations performed during 2016, and the operative mortality at the time of discharge from the hospital for different diseases of the foregut been the majority malignant tumors: esophageal cancer, gastric cancer, pancreatic cancer, liver and bile ducts carcinoma, and cancer of the gallbladder. The results were compared to dose obtained the year 2011. Results: The annual lethality of digestive malignant tumors showed an increase in pancreatic and liver cancer, while a decrease was observed in patients with esophageal cancer al gallbladder cancer. Operations for benign pathology like esophagomiotomy and laparoscopic antireflux surgery showed no mortality, as well as gastric bypass. Laparoscopic cholecistectomy, and laparoscopic sleeve gastrectomy presented a very low mortality. Surgical procedures for malignant diseases showed a decrease in operative mortality compare to 2011, although not significant. Conclusions: The present study shows an increase in the operations for foregut diseases performed during 2016 compared with the year 2011, as well as a decrease in operative mortality.

Acalasia Y Su Relación Con El Cáncer Esofágico

“…El epitelio escamoso puede malignizarse por múltiples causas a un carcinoma de células escamosas o epidermoide. Representa cerca de un 90% de los casos de cáncer esofágico en Asia Oriental, pero en el Occidente y en especial en Chile, sólo representa el 50%, por un importante aumento del adenocarcinoma esofágico 12 , Su incidencia en Chile es de 4 x 100.000 habitantes 13 . Se postula una transformación neoplásica de las células epidermoides del esófago aperistáltico debido a la constante irritación de la mucosa por factores químicos y por mutaciones genéticas asociadas a la acalasia 14 .…”

Enfrentamiento Ante Filtraciones De La Esófagoyeyuno Anastomosis

“…En Chile se estima que anualmente se realizan cerca de mil gastrectomías totales, con un 8% de FEYA aproximadamente y una mortalidad quirúrgica del 21,4%, se obtendría un estimado que cerca de 20 chilenos(as) mueren anualmente secundario a esta filtración anastomótica 1,5,9 .…”

Utilidad Del Dispositivo De Potenciación Del Esfínter Esofágico Distal (Linx®) Para Pacientes Con Reflujo Gastroesofágico

“…Su efectividad está documentada, reportándose control de síntomas hasta en 80% de los pacientes a 15 años plazo 3 . Sin embargo, no está exenta de complicaciones, y entre el 10% a 20% de los pacientes presentan síntomas recurrentes, por lo que no pueden suspender los IBP [1][2][3][4] .…”